Chapter 10: Commercial Property Insurance Flashcards
mercantile risks
Different types of business operations, and their different types of exposure,
Considerations for Commercial
1) Building.
2) Stock.
3) Equipment.
Building
- Fixed structures pertaining to the building and located on the premises.”
“Premises” are defined as the entire area within the property lines and areas under adjoining sidewalks and driveways. It includes erected pole signs, yard lights, and perimeter fencing constructed on the premises. Each structure must be noted on the declarations to be covered by the policy.
“2. Additions and extensions communicating and in contact with the building.
- Permanent fittings and fixtures attached to and forming part of the building(s).”
The value of plumbing, heating, air conditioning, lighting fixtures, wall-to-wall carpeting, and other permanently installed equipment is included in this amount.
“4. Materials, equipment and supplies on the premises for the maintenance of, and the normal repairs and minor alterations of the building or for building services.”
Any material on site for new construction or major renovation would not be covered.
“5. Growing trees, plants, shrubs or flowers inside the building use for decorative purposes when the insured is the owner of the building.”
This applies to the owner of the building, because a tenant would not have an insurable interest in the building.
Stock”
“1. Merchandise of every description usual to the insured’s business.”
The type of business in which the insured is engaged will usually be indicated on the declarations page. When a client purchases stock insurance, they receive coverage for all merchandise or items sold that are usual to that business. For example, If the insured’s business was described as a bookstore, but they submit a claim for bicycles sold by the shop, the insurer would have grounds to deny such a claim.
The rate and premium charged are based largely on the nature of the stock, because there is a wide variation in susceptibility to loss from one type of stock to another. For example, high-end bicycles have a higher potential for loss and would warrant a higher premium.
“2. Packing, wrapping and advertising materials.”
This includes all material used to distribute any of the merchandise sold. It includes advertising and promotional material, such as flyers and catalogues.
“3. Similar property belonging to others which the insured is under obligation to keep insured or for which the insured is obligated.”
Note that, under this definition, the property lost or damaged must be similar to that insured by the policy. This means that goods held on consignment must be similar to those stated on the declarations page.
The insured must have had an obligation to keep the property insured. The normal practice is to have a written agreement in place outlining the obligations of both parties.
Additionally, the insured must have been legally obligated either as a bailee or based on the standard of ordinary care. From an underwriting point of view, it is important to know the nature of all the stock in a building and how it relates to the insured’s business.
Equipment
“Equipment” is defined as:
“1. Generally all contents usual to the Insured’s business, including furniture, furnishings, fittings, fixtures, machinery, tools, utensils and appliances other than ‘building and stock’.”
Equipment can include office furniture, fittings, and display cases, as well as machinery ranging from air compressors to forklifts.
“2. Similar property belonging to others which the insured is under obligation to keep insured or for which they are legally liable.”
You might remember this clause from the definition of “stock,” and the intention is identical. Many operations lease or rent equipment, such as photocopiers, computers, office furniture, and forklifts, so this definition includes those items. Brokers need to know not only what is owned, but also any lease agreements related to the business.
“3. Tenants improvements, which are defined as building improvements, alterations and betterments made at the expense of the Insured to a ‘building’ occupied by the insured and which are not otherwise insured provided the Insured is not the owner of the building.”
Renting space in multi-use buildings — such as malls or high-rise buildings — is very cost-effective for many insureds. The space is often unfinished and the tenant/insured finishes the space to their own specifications. These tenant improvements and betterments are normally left in the building when they leave. Because the tenant has no interest in the building, but they paid for these improvements and betterments, these tenant improvements must be insured as equipment on the tenant’s policy.
If the insured purchases the use interest on tenant improvements made by the previous tenant, this form applies as though the tenant improvements had been made at the expense of the insured.
Once the broker has identified these components and given the appropriate values by the insured, the broker can then analyze the risk exposure each component presents. However, there may be challenges to ensuring adequate limits are met. To ensure adequacy of limit we apply the co-insurance clause with a co-insurance factor dependent on the type of building, operation and products (discussed in Section 10.3.5). Once all these parts are determined, we can then look at the type of policy required to meet the insured’s requirements and expectations.
Determining Insurance Values
(ACV) and replacement cost (RC). The traditional meaning of ACV is the cost to repair or replace lost or damaged property, less the application of any depreciation. In other words, it’s today’s price, less depreciation. RC represents the costs to repair, replace, or rebuild the lost or damaged property, without deduction for depreciation. Insuring a building on an RC basis usually requires a proper appraisal.
Stock is insured on ACV basis, whereas equipment can be insured on either. Again, the onus is on the insured to provide the proper data to ensure adequate limits in case of loss. These limits can be determined from invoices and inventory figures, and they are probably easier to determine than building values. (This is particularly true for older buildings, whose valuations can be more subjective.)
Co-insurance Clause
DID / SHOULD * LOSS = PAYOUT
Essentially buying insurance less than the amount that would cover your property and willing to incur a loss for a smaller premium
Below is an example of a co-insurance clause:
“This clause applies separately to each item for which a co-insurance percentage is specified on the Declarations page and only where the total loss exceeds the lesser of 2% of the applicable amount of insurance or $5000.
The insured shall maintain insurance concurrent with this form on the property insured to the extent of at least the co-insurance percentage specified on the Declarations page of the Actual Cash Value (ACV) thereof and failing to do so, shall only be entitled to recover that portion of loss that the amount of insurance in force at the time of loss bears to the amount of insurance required to be maintained by this clause.”
In commercial property, the insurer will normally require the insured to purchase an amount of insurance which, as a minimum, is equivalent to a predetermined percentage of the property’s value (usually 80% or 90%). When the amount of insurance purchased is less than this amount, the insured will be required to share in any future loss (that is, pay themselves). The formula used to determine the amount of the loss to be borne by the insured is included in the policy’s co-insurance clause.
The co-insurance clause exists because many people will deliberately under-insure to reduce the amount of premium they pay. Others may be careless in their estimate of current values and end up woefully under-insured. In other cases, they are expecting to suffer only a partial loss, so they base their purchasing decisions on that expectation. However, in the event of a total loss, insureds often expect full payment for partial losses — even if they failed to pay sufficient premium to cover the whole property.
The co-insurance clause prevents this from happening. In the event of a total loss, the payout to the insured is limited by the policy limit purchased. This means that, if the insured is under-insured, they would suffer a financial loss to the amount they are under-insured for. In the event of a partial loss, they would also be penalized by only receiving payment based on the formula which determines that shortfall.
Confused? Let’s look at an example.
John insures his $1,000,000 commercial property for $10,000. If his property is totally destroyed, should he expect his insurance to pay for $1,000,000 or $10,000?
It makes little sense to pay 100% of all losses when the amount of insurance purchased is significantly less than the total value of the property.
Sandy owns the unit next to John. Her commercial property is valued at and insured for $1,000,000. If she suffers the same loss as John, should she expect her policy to help pay for John’s loss?
It is unfair to ask other insureds who purchase the required amount of insurance to subsidize those who do not.
The Formula - Coinsurance
Did ÷ Should × Amount of the Loss = Settlement
Example:
150k / 240k (Should in this case is the % required by Co Insurance. Sometimes 80%, 90% of the property) * loss = Settlement
Co-Insurance Deductible - Deductible Clause
When a loss is subject to a co-insurance penalty, the amount of the loss is calculated first, followed by the amount of the deductible. In the example above, the insurer would first calculate the loss of $18,750 and then apply the appropriate deductible. If that deductible was $1,000, the net payment to Antonia would be $17,750.
Risk Analysis
Construction.
- Masonry and fire-resistive buildings that use modern building materials make a risk more attractive than a frame structure.
- The age of the building impacts the viability of its mechanical components and has a direct relation on whether a building meets modern building and fire codes.
2)Occupancy.
- The occupancy of the building by both the insured and others will affect the fire rate.
- In multi-occupancy buildings, the occupant with the highest exposure will affect the rate of all the building occupants.
- The type of contents (either raw or finished products) and the manufacturing process to produce those items directly affects the rate. For example, an insurance broker’s office would generate a rate well below a plastic parts manufacturer with highly flammable stock.
3)Protection.
•The availability and type of fire protection has a direct effect on the rate. Public protection includes the distance from fire hydrants (which determines water supply) and the number of local professional full-time fire stations (which determines response time). Private protection includes the internal activities of the building to prevent or reduce loss (such as sprinkler systems, fire extinguishers, and properly installed and monitored central station fire detection systems). These protections will reduce the rate for a risk.
4)Location.
•The physical location has a direct effect on the rate. The distance from other buildings, the construction of neighbouring buildings, and the character of the neighbourhood all impact the rate.
5)Claims History.
•The insurer will review the claims history of the insured and of similar businesses over a period of time (for example, the previous five years) to determine both the frequency and average severity of losses. Even though a loss is an unforeseen event in the future, the past history of both the insured and the industry is a pretty good indication of the likelihood of loss.
Policy Forms
Named Perils
Broad Form
Named Perils Form (IBC 4036)
The Named Perils Form (IBC 4036) is a very basic form that provides limited coverage for a risk. It can be used for difficult risks or for risks that require only limited coverages.
The Named Perils Form provides coverage for:
- Fire.
- Lightning, including loss or damage to electrical devices.
- Explosion (limited).
- Impact by aircraft, spacecraft, or land vehicles.
- Riot, vandalism, or malicious acts.
- Smoke due to a sudden, unusual, and faulty operation of any stationary furnace.
- Leakage from fire protective equipment.
- Windstorm or hail.
Broad Form (IBC 4037)
The Broad Form (IBC 4037) insures against all risks of physical loss or damage, subject to policy limits and exclusions. It is comparable to a comprehensive policy in habitational insurance.
Note that there is a Broad Form Homeowner Policy which provides all-risks coverage on the building and named perils on the contents. However, in commercial insurance, a Broad Form is entirely all-risks, so the loss is insured unless a specific exclusion in the policy says it is not. When you hear the term “Broad Form,” it’s important to be clear whether it’s a personal or commercial policy.
Even the term “all-risks” is a misnomer. It would be rare to find an insurance policy which insures against all losses without exception. All policies contain exclusions for both property and perils insured, as well as a number of miscellaneous conditions. Insureds need to be reminded that even the broadest coverage forms have limitations in what they insure.
Earlier in this chapter, we learned the definition of property, what it includes, and what needs to be identified on the declarations page. Now, we’ll examine the specific property and perils that are excluded under the Broad Form.
Examples of excluded property include:
- Sewers, drains, and watermains located beyond the outside bearing walls.
- Street clocks and exterior signs.
- Animals, birds, and fish.
- Money, platinum, cash cards, evidence of debt or title.
- Automobiles, watercraft, aircraft (but not unlicensed automobiles or unlicensed trailers) used on the insured premises while on the insured’s business.
- Property in the custody of sales representatives outside the premises, unless an amount is shown on the declarations page for the sales representative.
- Any pressure vessel having a working pressure greater than 103 kilopascals.
- Any boiler, including its connecting pipe and equipment, containing steam or water under steam pressure.
Examples of excluded perils include:
- Earthquake.
- Flood.
- Seepage and leakage.
- Backup or overflow of water from sewers, sumps, septic tanks, and drains.
- The entrance of rain, sleet, or snow through doors, windows, skylights, or other openings.
- Centrifugal force, mechanical, or electrical breakdown.
- Failure to control temperature or humidity.
- Trade losses.
- Pollution and contamination.
Common Clauses
DEBRIS REMOVAL CLAUSE
REINSTATEMENT CLAUSE - Under contract law, the insurer’s financial obligation to the insured is over when the limits of insurance have been fully used to pay claims. However, the unique nature of insurance contracts has resulted in insurers including the reinstatement clause in commercial and other property insurance policies. This clause means that the limits of insurance provided by the policy remain unchanged for the entire policy period, regardless of the number and amounts of claims paid.
SUBROGATION CLAUSE - to not go after those who have an insurable interest in the property
Property Away from the Insured Premises Policy
Commercial property insurance coverages apply only at the location noted on the declarations page. For an additional premium, coverage can be purchased and added to the policy to provide for both property in transit (by both the insured’s and others’ vehicles) and property at a temporary location not owned, rented, or controlled by the insured.